Lifeline Legacy — Event Registration
Reserve your seat and claim your complimentary Power of Attorney.
Confirm You Qualify
To receive your complimentary Power of Attorney, please confirm all 6 items below. These ensure we can deliver your document through our licensed estate planning partners. All 6 must be checked to qualify for the complimentary document — though you are still welcome to attend our workshop even if you do not qualify.
I am age 50 or older (or a spouse/family member attending together).
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Yes, I confirm
I am a U.S. resident and can provide my state of residence for the document.
*
Yes, I confirm
I plan to attend the full educational session.
*
Yes, I confirm
I have not already claimed a complimentary Power of Attorney from Lifeline Legacy Financial Group.
*
Yes, I confirm
I am willing to complete a short intake questionnaire from our estate planning partners after the event.
*
Yes, I confirm
I understand there is no cost and no obligation — this is provided as an educational benefit.
*
Yes, I confirm
Personal Information
First Name
*
Last Name
*
Email Address
*
example@example.com
Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Number of Attendees
*
Please Select
1
2
3
4+
Select Your Event
Preferred Event Format
*
Please Select
Seminar
Webinar
Lunch & Learn
Retirement Education Event
Business Continuity Workshop
Preferred Date
*
-
Month
-
Day
Year
Date
How did you hear about us?
*
Please Select
Facebook
Instagram
Direct Mail
Friend/Family Referral
Google Search
Other
Your Complimentary Gift
POA Type
*
Healthcare Power of Attorney - Authority for medical decisions
Financial Power of Attorney - Authority to manage finances
I Would like to get Both
Additional notes or questions
Consent
*
I confirm all information provided is accurate and I agree to be contacted by Lifeline Legacy Financial Group regarding my registration and Power of Attorney document.
Reserve My Seat & Claim My POA
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